| 尹东,黄斐,高维陆,等.类风湿关节炎与骨关节炎全膝关节置换术术后并发症比较[J].安徽医药,2018,22(7):1328-1330. |
| 类风湿关节炎与骨关节炎全膝关节置换术术后并发症比较 |
| Postoperative complications of total knee arthroplasty in patients with rheumatoid arthritis and osteoarthritis |
| 投稿时间：2017-08-16 |
| DOI： |
| 中文关键词: 关节成形术, 置换, 膝/副作用 骨关节炎 关节炎, 类风湿 |
| 英文关键词: Arthroplasty, replacement, knee/ adverse effects Osteoarthritis Arthritis, rheumatoid |
| 基金项目: |
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| 中文摘要: |
| 目的 比较类风湿关节炎(Rheumatoid arthritis,RA)和骨关节炎(Osteoarthritis,OA)患者行全膝关节置换术术后并发症的差别,以期指导临床决策及治疗。方法 回顾性分析安徽医科大学第一附属医院2009年1月至 2014年1月因RA及OA行初次单侧全膝关节置换的患者,通过病例查阅,门诊随访及电话随访收集患者术后早期翻修率,假体周围骨折率,下肢深静脉血栓发生率,90 d感染率及90 d死亡率等数据并进行分析对比。结果 共收集221例行全膝关节置换术患者,其中RA患者64例,OA患者157例,RA组术后翻修率1.6%(1/64),假体周围骨折率1.6%(1/64),下肢深静脉血栓发生率6.3%(4/64),切口感染率6.3%(4/64)及术后90 d死亡率1.6%(1/64)。上述观察指标OA组依次为1.9%(3/157),1.3%(2/157),3.8%(6/157),3.2%(5/157)及0%(0/157),两组均差异无统计学意义(均P>0.05)。结论 RA患者行全膝关节置换术较OA患者不增加术后并发症的发生率。 |
| 英文摘要: |
| Objective Compare the complications of total knee arthroplasty in patients with rheumatoid arthritis and osteoarthritis in order to guide clinical decision-making and treatment. Methods A retrospective analysis was performed in osteoarthritis and rheumatoid arthritis patients who had underwent the first unilateral total knee arthroplasty from January 2009 to January 2014 in First Affiliated Hospital of Medical University Of Anhui. The early revision rate, periprosthetic fracture rate, extremity deep vein thrombosis rate, 90 day infection rate and 90 day mortality rate were collected by case visit, outpatient follow-up and telephone follow-up. Results A total of 221 patients who had underwent total knee arthroplasty were enrolled, including 64 cases of rheumatoid arthritis and 157 cases of osteoarthritis.There was no significant difference between OA patients in early revision rate, periprosthetic fracture rate, deep venous thrombosis, 90 day infection rate and 90 day mortality rate in RA patients(P>0.05).Conclusion Total knee arthroplasty in patients with RA does not increase the incidence of postoperative complications. |
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